4 steps urdu

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4 Steps to ControlYour Diabetes for Life

4 )(

URDU

June 20112011


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Contents

Step 1: Learn about diabetes ............................... 6

Step 2: Know your diabetes ABCs ...................... 12

Step 3: Manage your diabetes ............................ 16

Step 4: Get routine care ..................................... 22

Notes ................................................................. 26

Where to get help ............................................... 28


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7 ......................................... :1 13 ........... )ABCs( :2 17..................... :3 23 ................................ :4 ................................................................. 27 29 ............................................


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2

4 Steps to Control

Your Diabetes. For Life.

This booklet presents our key steps to help you manage

your diabetes and live a long and active lie.

Step 1: Learn about diabetes.

Step 2: Know your diabetes ABCs.

Step 3: Manage your diabetes.

Step 4: Get routine care to avoid problems.


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4 )(

:1 )ABCs( :2

:3 :4


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4

Diabetes is a serious disease. It aects almost every part

o your body. That is why a health care team may help

you take care o your diabetes:

doctor

dentist

diabetes educator

dietitian

eye doctor

oot doctor

mental health counselor nurse

nurse practitioner

pharmacist

social worker

riends and amily

You are the most important member of the team.

Theq inthisbookletshowactionsyou

cantaketomanage

yourdiabetes.

q Helpyourhealthcareteammakead

iabetescareplanth

at

willworkforyou.

q Learntomakewisechoicesfor

yourdiabetescare

eachday.


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6

Step 1:Learn about diabetes.

Diabetes means that your blood glucose )blood sugar( is

too high. Here are the main types o diabetes.

Type 1 diabetesthe body does not make insulin.

Insulin helps the body use glucose rom ood or energy.People with type 1 need to take insulin every day.

Type 2 diabetesthe body does not make or use

insulin well. People with type 2 oten need to take pills

or insulin. Type 2 is the most common orm o diabetes.

Gestational (jes-TAY-shon-al) diabetes mellitus

(GDM)occurs when a woman is pregnant. It raises her

risk o getting another type o diabetes, mostly type 2,

or the rest o her lie. It also raises her childs risk o

being overweight and getting diabetes.


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:1 ) ( 1

1 2 2 2

(GDM) (jes-TAY-shon-al) 2


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8

Diabetes is serious.

You may have heard people say they have a touch o

diabetes or that their sugar is a little high. Thesewords suggest that diabetes is not a serious disease.

That is not correct. Diabetes is serious, but you can

manage it!

All people with diabetes need to make healthy food

choices, stay at a healthy weight, and be active every day.

Taking good care o yoursel and your diabetes can help

you eel better and avoid health problems caused bydiabetes such as:

heart attack and stroke

eye problems that can lead to trouble seeing or

going blind

nerve damage that can cause your hands and eet

to hurt, tingle, or eel numb. Some people may evenlose a oot or a leg

kidney problems that can cause your kidneys to

stop working

gum disease and loss o teeth


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9

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:


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10

When your blood glucose is close to normal you are

likely to:

have more energybe less tired and thirsty and urinate less oten

heal better and have ewer skin or bladder

inections

have ewer problems with your eyesight, skin, eet,

and gums

q Askyourhealthcareteamwhich

typeofdiabetesyou

have.

q Learnwhydiabetesisserious.q Learnhowcaringforyourdiab

etes

helpsyoufeelbetter

todayandin

thefuture.


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q q

q


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12

Step 2:Know your diabetes ABCs.

Talk to your health care team about how to manage

your A1C, Blood pressure, and Cholesterol. This can

help lower your chances o having a heart attack,

stroke, or other diabetes problem. Heres what the ABCs

o diabetes stand or:

A or the A1C test (A-one-C).It shows you what your blood glucose has beenover the last three months. The A1C goal or

many people is below 7.

High blood glucose levels can harm your heart and

blood vessels, kidneys, eet, and eyes.

B or Blood pressure.The goal or most people with diabetes is below

130/80.

High blood pressure makes your heart work too hard. It

can cause heart attack, stroke, and kidney disease.

C or Cholesterol.The LDL goal for people with diabetes is below 100.

The HDL goal or men is greater than 40.

The HDL goal or women is greater than 50.

LDL or bad cholesterol can build up and clog your

blood vessels. It can cause a heart attack or a stroke.HDL or good cholesterol helps remove cholesterol rom

your blood vessels.


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13

:2 )ABCs( ) ( A1C

: ABC ) ( A1C A

7 A1C

A1C

B 130/80

) ( C 100 LDL 40 HDL

50 HDL LDL

HDL


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q Askyourhealthcareteam:q whatyourA1C,Bloo

dpressure,

andcholesteroln

umbersare

q whatyourABCnumberssho

uld

be

q whatyouneedtodotoreach

yourtargets


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) ( q: ) ( A1C )( )( ABC


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Step 3:Manage your diabetes.

Many people avoid the long-term problems o diabetes

by taking good care o themselves. Work with your

health care team to reach your ABC goals. Use this

sel-care plan.

Use your diabetes ood plan. I you do not have

one, ask your health care team or one.

- Eat healthy oods such as ruits and vegetables,

sh, lean meats, chicken or turkey without the

skin, dry peas or beans, whole grains, and

low-at or skim milk and cheese.

- Keep sh and lean meat and poultry portions to

about 3 ounces )or the size o a pack o cards(.

Bake, broil, or grill it.

- Eat oods that have less at and salt.

- Eat oods with more ber such as whole-graincereals, breads, crackers, rice, or pasta.


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17

:3 - ABC )-( -

-

( 3 - )

- -


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18

Get 30 to 60 minutes o physical

activity on most days o the week.

Brisk walking is a great way to move

more.

Stay at a healthy weight by making healthy ood

choices and moving more.

Ask or help i you eel down. A mental health

counselor, support group, member o the clergy,

riend, or amily member will listen to your

concerns and help you eel better.

Learn to cope with stress. Stress can raise your

blood glucose. While it is hard to remove stress

rom your lie, you can learn to handle it.

Stop smoking. Ask or help to quit.

Take medicines even when you eel good. Ask

you doctor i you need aspirin to prevent a heart

attack or stroke. Tell your doctor i you cannot

aord your medicine or i you have any side eects.


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60 30


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Check your eet every day or cuts, blisters, red

spots, and swelling. Call your health care team

right away about any sores that wont go away.

Brush your teeth and foss every day to avoid

problems with your mouth, teeth, or gums.

Check your blood glucose.You may

want to test it one or more times a day.

Check your blood pressure. I your doctor advises.

Report any changes in your eyesight to your

doctor.

q Talktoyourhealthcareteam

aboutyourbloo

dglucosetarget

s.

Askhowandwh

entotestyour

bloodglucosea

ndhowtouset

he

resultstomana

geyourdiabetes

.

q Usethisplanasaguidetoyour

self-care.

q Discusshowyourself-carepla

nis

workingforyou

eachtimeyou

visityourhealth

careteam


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Step 4:Get routine care to avoid problems.

See your health care team at least twice a year to nd

and treat problems early. Discuss what steps you can

take to reach your goals.

At each visit get a:

blood pressure check

oot checkweight check

review o your sel-care plan shown in Step 3

Two times each year get an:

A1C testIt may be checked more often if it is over 7

Once each year get a: cholesterol test

triglyceride )try-GLISS-er-ide( test- a type of blood fat

complete oot exam

dental exam to check teeth and gumstell your

dentist you have diabetes

dilated eye exam to check or eye problems fu shot

urine and a blood test to check or kidney problems

At least once get a:

pneumonia )nu-mo-nya( shot


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: 3

: 7 A1C :

)try-GLISS-er-ide(

: )nu-mo-nya(


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q Askyourhealthcare

teamabou

t

theseando

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oumay

need.Askwh

atyourresu

lts

mean.

q Writedownthedate

andtimeof

yournextvis

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,askyour

healthcare

teamifMed

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q learningabouthe

althy

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iabetes

self-care

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dicines


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q q)Medicare( q : q q q


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26

Notes

______________________________

____________________________________________________________

______________________________

______________________________

____________________________________________________________

______________________________

______________________________

____________________________________________________________

______________________________

______________________________

____________________________________________________________

______________________________

______________________________

NATIONAL DIABETES EDUCATION PROGRAM

www.ndep.nih.gov


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______________________________

____________________________________________________________

______________________________

______________________________

____________________________________________________________

______________________________

______________________________

____________________________________________________________

______________________________

______________________________

____________________________________________________________

______________________________

______________________________

www.ndep.nih.gov


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Where to get help:

National Diabetes Education Program

1-888-693-NDEP )1-888-693-6337(www.YourDiabetesIno.org

National Diabetes Education Program: Diabetes Healthsense

An online library o resources or living well.

www.YourDiabetesIno.org/Healthsense

American Association o Diabetes Educators

1-800-338-3633

www.diabeteseducator.org

American Diabetes Association

1-800-DIABETES )800-342-2383(

www.diabetes.org

American Dietetic Association

1-800-877-0877

www.eatright.org

American Heart Association

800-AHA-USA1 )800-242-8721(

www.americanheart.org

Centers or Disease Control and Prevention

1-800-CDC-INFO )1-800-232-4636(

www.cdc.gov/diabetes

Centers or Medicare & Medicaid Services

1-800-MEDICARE or )800-633-4227(

www.medicare.gov/health/diabetes.asp

National Institute o Diabetes and Digestive and Kidney

Diseases

National Diabetes Inormation Clearinghouse1-800-860-8747

www.niddk.nih.gov


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: (National Diabetes Education Program)

1-888-693-NDEP )1-888-693-6337(www.YourDiabetesInfo.org

(American Association of Diabetes Educators)

1-800-338-3633www.diabeteseducator.org

(American Diabetes Association) 1-800-DIABETES )800-342-2383(

www.diabetes.org

(American Dietetic Association) 1-800-877-0877

www.eatright.org

(American Heart Association) 800-AHA-USA1 )800-242-8721(www.americanheart.org

(Centers for Disease Control and Prevention)

1-800-CDC-INFO )1-800-232-4636(www.cdc.gov/diabetes

(Centers for Medicare & Medicaid Services))800-633-4227( 1-800-MEDICARE

www.medicare.gov/health/diabetes.asp

(National Institute of Diabetes and Digestive and Kidney Diseases)

)National Diabetes Information Clearinghouse(

1-800-860-8747www.niddk.nih.gov


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The U.S. Department of Health and HumanServices National Diabetes Education Program (NDEP)

is jointly sponsored by the National Institutes ofHealth (NIH) and the Centers for Disease Control and

Prevention (CDC) with the support of more than200 partner organizations.

200 (NDEP)(CDC)

Reviewed by Martha Funnell, MS, RN, CDE

Michigan Diabetes Research and Training Center

Gulzar H. Shah, MStat, MS, PhD

National Association o County and City Health Ocials )NACCHO(

)NACCHO(

Urdu translation provided by the Centers or Disease Control and

Prevention Multilingual Services

Urdu translation reviewed by Mansoor A. Baloch, PhD, NationalCenter or Environmental Health )NCEH(, Centers or Disease

Control & Prevention )NCEH(

NIH Publication No. NDEP-67UR June 2011

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